Department of Health

State of New York

Official Website: https://health.ny.gov

Forms & Documents

Browse all Department of Health government forms

101 - 120 of 136 forms

Form Title Topics
Mosquito & Tick Materials Order Form
Name or Address Change and Duplicate Card Requests
Nonhospital Order Not to Resuscitate
Notice of Course Cancellation
Notification from Pharmacy - Practitioner Failure to Provide Official Prescription
Notification of Loss/Theft of Official New York State Prescriptions
Nursing Assessment for Home Care
Official New York State Prescription Authorization Form for Registered Physician Assistants
Official New York State Prescription Registration Form
Official Prescription Program Order Form
Oral Health Education and Publications Order Form
Ordering Brochures
Participant Registration Form
Pharmacist's Add/Change Reference for Controlled Substance Prescriptions
Pharmacy Enrollment Form
Practitioner Agreement
PrEP-AP Practitioner Agreement
PrEP-AP Specialty Provider Agreement
Primary Care Agreement
Proctor Claim for Payment for Non-State Employees

Contact Information & Office Locations

1 contact point

Headquarters

Address:
Corning Tower
Empire State Plaza
Albany, NY 12237

Emails:
  • dohweb@health.ny.gov
  • press@health.ny.gov

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